DEBORAH POTTLE (NPI# 1417325176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417325176 |
| Entity Type | Individual |
| Full Name | DEBORAH POTTLE |
| Practice Address |
30 Boynton St Eastport ME 04631-1306 |
| Mailing Address |
Po Box H Eastport ME 04631-0909 |
| Practice Telephone | 2078536001 |
| Practice Fax Number | 2078534031 |
| Mailing Telephone | 2078536001 |
| Mailing Fax Number | 2078534031 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
RN46809 | ME | Nursing Service Providers |
| Street Address |
30 BOYNTON ST |
| City | EASTPORT |
| State | ME |
| Zip Code | 04631-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548446 | Pamela J. Koenig | Nurse Practitioner | 30 Boynton St, Eastport, ME 04631-1306 | 2005-06-16 |
| 1346706629 | Calais Regional Hospital | Clinic/Center | 30 Boynton St, Eastport, ME 04631-1306 | 2019-02-12 |
| 1023512548 | Barbara Ann Vittum | Health Educator | 30 Boynton St, Eastport, ME 04631-1306 | 2018-03-20 |
| 1063822864 | Barbara A Richardson | Registered Nurse | 30 Boynton St, Eastport, ME 04631-1306 | 2014-05-01 |
| 1528483682 | Tammy Carr | Counselor | 30 Boynton St, Eastport, ME 04631-1306 | 2014-02-26 |
| 1427302272 | David E Brass | Counselor | 30 Boynton St, Eastport, ME 04631-1306 | 2012-11-01 |
| 1932486297 | Kathleen M Dunbar | Dental Hygienist | 30 Boynton St, Eastport, ME 04631-1306 | 2011-11-14 |
| 1871807842 | Jan M Brown | Counselor | 30 Boynton St, Eastport, ME 04631-1306 | 2010-08-02 |
| 1245541721 | Ryan Mathew Smith | Psychiatry & Neurology | 30 Boynton St, Eastport, ME 04631-1306 | 2010-06-29 |
| 1710112925 | Susan Marie Drew | Dental Hygienist | 30 Boynton St, Eastport, ME 04631-1306 | 2009-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164849691 | Eastport Family Pharmacy | Pharmacy | 34 Middle St, Eastport, ME 04631 | 2014-03-21 |
| 1740622836 | Kevin Garner Sample | Social Worker | Eastport Health Care, 30 Boynton Street, Eastport, ME 04631 | 2013-07-18 |
| 1972666337 | Sunrise Opportunities | Community Based Residential Treatment Facility, Mental Illness | 4 Clark St, Eastport, ME 04631-1036 | 2006-12-18 |
| 1952513343 | Charlotte School | Local Education Agency (LEA) | 102 High St # Msu104, Eastport, ME 04631-1110 | 2007-05-05 |
| 1346464625 | Eastport School Department | Local Education Agency (LEA) | 102 High St, Eastport, ME 04631-1110 | 2007-04-11 |
| 1679801773 | School Union 104 | Local Education Agency (LEA) | 100 High St, Eastport, ME 04631-1110 | 2009-12-01 |
| 1578775961 | Pembroke School | Local Education Agency (LEA) | 102 High St # Msu104, Eastport, ME 04631-1110 | 2007-05-05 |
| 1205048691 | Dennysville School Department | Local Education Agency (LEA) | 102 High St # Msu104, Eastport, ME 04631-1110 | 2007-05-05 |
| 1487866877 | Perry School | Local Education Agency (LEA) | 102 High St # Msu104, Eastport, ME 04631-1110 | 2007-05-05 |
| 1437411709 | Quoddy Bay Pharmacy | Pharmacy | 88 Washington St, Eastport, ME 04631-1229 | 2012-06-13 |
| Find all providers in zip 04631 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649742057 | Cheryl W Carrell | Registered Nurse | 200 Somerset St, Millinocket, ME 04462-1298 | 2018-12-24 |
| 1720574338 | Pamela Lynn Willette | Registered Nurse | 23 High St, Fort Fairfield, ME 04742-1021 | 2018-07-06 |
| 1164934634 | Christopher Dunn Irish | Registered Nurse | 181 Main St, Norway, ME 04268-5664 | 2017-10-24 |
| 1285177824 | Christine Marie O'meara | Registered Nurse | 23 High St, Fort Fairfield, ME 04742-1021 | 2016-11-30 |
| 1578958161 | Jody Annis | Registered Nurse | 891 W Main St, Suite 200, Dover Foxcroft, ME 04426-1059 | 2015-04-01 |
| 1477706331 | Brenda Cottle Deblois | Registered Nurse | 1 Va Ctr, Augusta, ME 04330-6719 | 2008-10-23 |
| 1497904254 | Leanne Joy Carey | Registered Nurse | 905 Union St, Suite 11, Bangor, ME 04401-3050 | 2008-09-16 |
| 1578764429 | Maurie S Hill | Registered Nurse | 887 Congress St, Portland, ME 04102-3100 | 2007-05-29 |
| 1740305697 | Linda A. Johnson | Registered Nurse | 905 Union St, Suite 11, Bangor, ME 04401-3050 | 2007-03-20 |
Please comment or provide details below to improve the information on DEBORAH POTTLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.